Active NPI
Carl Hazarian
- Optician
- Los Angeles, CA
National Provider Identifier
1710021985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D3128
- Legal business name
- CARL HAZARIAN
- Practice address
- 5101 Santa Monica Blvd Ste 6
Los Angeles, CA 90029-2480 - Phone
- (323) 669-1053
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl Hazarian
- Title
- Registered Optician
- Phone
- (323) 669-1053
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | D3128 | CA | Primary |
Addresses
Primary practice location
5101 Santa Monica Blvd Ste 6
Los Angeles, CA 90029-2480
Mailing address
2595 E Washington Blvd Ste 105a
Pasadena, CA 91107-1409
Phone (323) 669-1053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX003128F | Medicaid | CA |
Other names 1
- LA LUNETTE OPTICAL CENTER
National Provider Directory
National Provider DirectoryLocations
2595 E Washington Blvd
Ste 105A
Pasadena, CA 91107
Phone (626) 791-8844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305590400000",
"number": "1710021985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 E WASHINGTON BLVD STE 105A",
"city": "PASADENA",
"state": "CA",
"postal_code": "911071409",
"telephone_number": "323-669-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 SANTA MONICA BLVD STE 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900292480",
"telephone_number": "323-669-1053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARL HAZARIAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2011-05-17",
"status": "A",
"authorized_official_last_name": "HAZARIAN",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "REGISTERED OPTICIAN",
"authorized_official_telephone_number": "323-669-1053"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "D3128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DX003128F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LA LUNETTE OPTICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.